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ROBERT JAMES DOUGHERTY MD PLLC
NPI 1053561761
Family Medicine in Bastrop, TX

Active since September 30, 2008
623 HIGHWAY 71 W STE 204, BASTROP, TX 78602(512) 581-5016(512) 985-5987 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Robert James Dougherty Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JAMES DOUGHERTY MD PLLC (NPI 1053561761) is a healthcare organization registered as a family medicine in Bastrop, Texas and active in the NPI registry since September 2008. The organization lists Robert Dougherty, President, as its authorized official.

NPPES Registry Identity

NPI1053561761
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERT JAMES DOUGHERTY MD PLLC
Location Address623 HIGHWAY 71 W STE 204Bastrop, TX 78602-4166
Mailing Address623 Highway 71 W Ste 204Bastrop, TX 78602-4166 · (512) 581-5016 · Fax (512) 985-5987
Phone(512) 581-5016
Fax(512) 985-5987
Organization SubpartNo
Authorized OfficialRobert DoughertyPresident · (512) 581-5016
Enumeration DateSeptember 30, 2008
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1053561761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L2226
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
623 HIGHWAY 71 W STE 204, Bastrop, TX 78602
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Other Identifiers 1

Medicaid147638403TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert James Dougherty Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert James Dougherty MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Dougherty, MD
Family Practice
NPI 1114935210
623 HIGHWAY 71 W STE 204
Bastrop, TX 78602
(512) 581-5016
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1006150

Robert J Dougherty M D P A · Bastrop, TX
Expired · Nov 7, 2026
CLIA Number45D1006150
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorRobert J. Dougherty
Laboratory Phone(512) 581-5016
Laboratory LocationRobert J Dougherty M D P A623 Highway 71 West,suite 204, Bastrop, TX 78602
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert James Dougherty MD PLLC's NPI number?

The NPI number for Robert James Dougherty MD PLLC is 1053561761. It was assigned to this organization in the NPPES registry on September 30, 2008.

Where is Robert James Dougherty MD PLLC located?

Robert James Dougherty MD PLLC is located at 623 Highway 71 W Ste 204, Bastrop, TX 78602. The listed phone number is (512) 581-5016.

What is Robert James Dougherty MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert James Dougherty MD PLLC enrolled in Medicare?

Yes. Robert James Dougherty MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert James Dougherty MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Robert James Dougherty MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robert James Dougherty MD PLLC accept?

Health plans from Sendero Health Plans, Local Nonprofit list Robert James Dougherty MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert James Dougherty MD PLLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.